| LCA CASE NUMBER | I-200-21005-994930 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-05 |
| DECISION DATE | 2021-01-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 10 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 10 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LIFESPAN PHYSICIAN GROUP INC. |
| EMPLOYER ADDRESS1 | 167 POINT STREET |
| EMPLOYER CITY | Providence |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14016062211 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | RICHARDS |
| EMPLOYER POC FIRST NAME | PATRICIA |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, OPERATIONS |
| EMPLOYER POC ADDRESS 1 | 167 Point Street |
| EMPLOYER POC ADDRESS 2 | Suite 2B |
| EMPLOYER POC CITY | PROVIDENCE |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14016062211 |
| EMPLOYER POC EMAIL | PRICHARDS@LIFESPAN.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | STEPHEN |
| AGENT ATTORNEY ADDRESS1 | 2139 BROAD STREET |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| AGENT ATTORNEY POSTAL CODE | 2905 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14012744040 |
| AGENT ATTORNEY EMAIL ADDRESS | TBROWN@RODIOBROWN.COM |
| LAWFIRM NAME BUSINESS NAME | Rodio & Brown, Ltd. |
| STATE OF HIGHEST COURT | RI |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 10 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | The Miriam Hospital |
| WORKSITE ADDRESS1 | 164 Summit Avenue |
| LCA CASE WORKLOC1 CITY | Providence |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2906 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 161949 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
